Scenario: Runner collapsed with hot dry skin + confusion. Diagnosis?
Heat stroke—rapid cooling + evacuation.
Scenario: Calf cramps after hot hike. Cause?
Heat cramps—rest, electrolytes.
Scenario: Headache + nausea + ataxia at 10,000 ft. Diagnosis?
AMS—stop ascent, hydrate.
Scenario: Dyspnea + cough + low O2 at altitude. Diagnosis?
HAPE—descend, oxygen, evacuate.
Scenario: Frostnip signs. Care?
Passive rewarming.
Scenario: Deep frostbite signs. Care?
Rewarm only if no refreezing risk; evacuate.
Scenario: Cold-water immersion, bradycardic. Priorities?
Gentle handling, 60s pulse check, rewarm.
Scenario: Lightning strike, one pulseless. Triage?
CPR pulseless first.
Scenario: Box jellyfish sting + systemic signs. Action?
Inactivate nematocysts, evacuate.
Scenario: Jellyfish sting with welts. Pain relief?
Hot water immersion.
Scenario: Diver with joint pain after ascent. Diagnosis?
Decompression sickness—oxygen, evacuate.
Scenario: Diver with chest pain after ascent. Diagnosis?
Arterial gas embolism—oxygen, evacuate.
Scenario: Heat syncope. Care?
Supine, elevate legs, cool.
Scenario: Marathoner with seizures after overhydration. Diagnosis?
Hyponatremia—avoid water, evacuate.
Scenario: Severe sunburn with blisters. Care?
Cool compresses, cover, hydrate.
Scenario: Ear pain + vertigo after swimming. Diagnosis?
Otitis externa or barotrauma.
Scenario: Blistering rash after plant exposure. Diagnosis?
Contact dermatitis or phototoxicity.
Scenario: Heat rash. Care?
Cool, dry, loose clothing.
Scenario: Ear pain after ascent. Diagnosis?
Barotrauma.
Scenario: Sea urchin puncture. Care?
Hot water soak, remove spines.
Scenario: Jellyfish sting + hypotension. Concern?
Systemic reaction—airway, oxygen, evacuate.
Scenario: Rhabdomyolysis signs. Care?
Hydrate, monitor urine, evacuate.
Scenario: CO exposure in shelter. Care?
Remove, oxygen, evacuate.
Scenario: Minor burn. Care?
Cool water, dress, analgesia.
